A Phase II Trial of Albumin-Bound Paclitaxel and Gemcitabine in Patients With Untreated Stage IV or Recurrent Squamous Cell Lung Cancers
Overview
- Phase
- Phase 2
- Intervention
- albumin-bound paclitaxel
- Conditions
- Lung Cancer
- Sponsor
- Memorial Sloan Kettering Cancer Center
- Enrollment
- 40
- Locations
- 6
- Primary Endpoint
- Overall Response Rate
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this study is to test the safety and effectiveness of albumin-bound paclitaxel plus gemcitabine in patients with advanced squamous cell lung cancers. The investigators would like to determine the percentage of patients with squamous cell lung cancers who experience shrinkage of their tumors following treatment with this regimen. This combination of drugs is not a standard therapy for patients with squamous cell lung cancers. However, each of these drugs, when given alone or with other chemotherapies, is FDA-approved for the treatment of this disease.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histologically confirmed squamous cell lung cancer
- •Newly diagnosed untreated Stage IV and/or recurrent after adjuvant therapy with metastatic disease
- •Patients previously treated with immune checkpoint inhibitor therapy are eligible
- •Measurable disease as per RECIST 1.1
- •Greater than 6 months since receiving neo-adjuvant or adjuvant chemotherapy.
- •Age ≥ 18 years
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- •Women of childbearing potential and sexually active men enrolled in the study must agree to practice effective contraception method during treatment and for three months after completing treatment
- •Negative serum or urine β-hCG pregnancy test at screening for patients of childbearing potential
- •\< Grade 2 pre-existing peripheral neuropathy (per CTCAE)
Exclusion Criteria
- •Prior treatment with albumin-bound paclitaxel or gemcitabine
- •Prior systemic anticancer therapy for advanced squamous cell lung cancer
- •Untreated brain metastasis. Patients with treated brain metastases who are off steroids are eligible
- •Peripheral neuropathy greater than grade 1
- •Malignancies within the past 5 years other than non-melanoma skin cancer or insitu cervical cancer status post treatment
- •Patients with other serious medical illnesses including, ongoing or active infection, unstable angina pectoris, or psychiatric illness/social situations that would limit compliance with study requirements
- •Class III or IV congestive heart failure by New York Heart Association
Arms & Interventions
Albumin-Bound Paclitaxel and Gemcitabine
During each 21-day cycle, albumin-bound paclitaxel at 100mg/mg2 over 120 minutes and gemcitabine at 1000mg/m2 over 30 minutes will be given intravenously on days 1 and 8 of each 21 day cycle. Treatment will continue until disease progression or intolerable side effects. After the 4th cycle of treatment, patients will have the option of discontinuing gemcitabine and proceeding with weekly albumin-bound paclitaxel as maintenance therapy.
Intervention: albumin-bound paclitaxel
Albumin-Bound Paclitaxel and Gemcitabine
During each 21-day cycle, albumin-bound paclitaxel at 100mg/mg2 over 120 minutes and gemcitabine at 1000mg/m2 over 30 minutes will be given intravenously on days 1 and 8 of each 21 day cycle. Treatment will continue until disease progression or intolerable side effects. After the 4th cycle of treatment, patients will have the option of discontinuing gemcitabine and proceeding with weekly albumin-bound paclitaxel as maintenance therapy.
Intervention: gemcitabine
Outcomes
Primary Outcomes
Overall Response Rate
Time Frame: 1 year
defined as the percentage of patients with complete or partial responses based on RECIST 1.1, at any time prior to disease progression, out of all evaluable patients. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Secondary Outcomes
- Participants Evaluated for Toxicity(1 year)